RFP 27-88343 - Att I - Pre-Proposal Network Form_AS Anthem.docx

This is a Pre-Proposal Network Opportunities Form submitted by Anthem Insurance Companies, Inc. (dba Anthem Blue Cross and Blue Shield) in response to RFP 27-88343, issued by the Indiana Family and Social Services Administration's Office of Medicaid Policy and Planning. The RFP seeks proposals from managed care organizations to provide statewide risk-based Medicaid services across four programs: Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and Indiana PathWays for Aging, collectively serving approximately 1.5 million Hoosiers. The pre-proposal conference is scheduled for September 10, 2026, with the pre-proposal network form submission deadline of September 10, 2026 at 1:30 PM Eastern Time via email to rfp@idoa.in.gov. The official proposal submission deadline is November 6, 2026. The contract term is four years with two optional one-year renewals available at the state's discretion, for a potential total of six years.

Anthem's submission identifies Adam Schlecht, Actuarial Strategic Planning Leader, as the primary contact (262-523-2445, adam.schlecht@anthem.com), with the company's mailing address located at 220 Virginia Ave, Indianapolis, IN 46204. The RFP evaluation criteria total 90 points (91 with bonus), including Management Assessment and Quality (75 points), Oral Presentations (5 points), Buy Indiana Initiative preference (5 points), and Indiana Veteran Owned Small Businesses subcontracting goals (5 points with 1 bonus point available). Respondents must demonstrate current MCO service in at least one state and at least five years of prior MCO experience, obtain Indiana-licensed HMO status with NCQA accreditation by contract start or no later than the end of the second full calendar year, and maintain administrative offices within five miles of the Indiana Government Center in Indianapolis. The total estimated base capitation across all programs exceeds $4.9 billion for the initial rating period, with state fiscal year 2027 capitation rates varying by program from $228.72 to $3,468.29 PMPM.